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Health Inspection

Shuksan Rehabilitation And Health Care

May 1, 2025 · Bellingham, WA · 1530 James Street
Citations 3
CMS Rating 1/5
Beds 52
Provider ID 505098
Healthcare Facility
Shuksan Rehabilitation And Health Care
Bellingham, WA  ·  View full profile →
Inspection Summary

SHUKSAN REHABILITATION AND HEALTH CARE in BELLINGHAM, WA — inspection on May 1, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF610
TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 36787 Some residents (Residents 5, 6, 10 and 27) reviewed for accidents and potential abuse or neglect. The failure to affected

Findings included .

Review of chapter two of the Nursing Home Guidelines, sixth edition, dated October 2015 showed that A thorough investigation was a systematic collection and review of evidence/information that describes and explains an event or a series of events. It seeks to determine if abuse, neglect, abandonment, personal and/or financial exploitation or misappropriation of resident property occurred, and how to prevent further occurrences .The investigation should end with the identification of who was involved in the incident, and what, when, where, why, and how the incident happened, including the probable or reasonable cause. It should also allow the nursing home to determine if the allegations were true or not true.

Review of the facility policy titled, Abuse, Neglect, Mistreatment and Misappropriation of Resident Property, dated 09/21/2022, showed the facility had a policy in place which addressed the components and systems for completion of investigations per the regulatory requirements.

<RESIDENT 5>

Resident 5 admitted [DATE] with diagnoses to include Alzheimer's dementia.

According to the Minimum Data Set (MDS-, an assessment tool) assessment dated [DATE], the resident had moderate cognitive impairment.

Review of a fall investigation dated 12/07/2024 at 1:00 PM, documented Resident 5 was found on the floor on their left side with a goose egg/hematoma to their left temple. Resident 5 stated they were getting rid of flowers and picking up flower pedals in the bathroom and fell .

The investigation showed the facility staff did not know when the resident had last received toileting, repositioning or fluids.

There was no statement from the Nursing Assistant Certified (NAC) assigned to care for Resident 5 that shift included in the investigation.

The post fall monitoring included with the investigation showed there was no monitoring completed on 12/08/2024 or 12/10/2024 on AM shift.

The incident that occurred on 12/07/2025 at 1:00 PM, was logged on the state reporting log two days late on 12/13/2025.

The injury type was coded under the substantial injury section as S15, bruises of deep color and depth.

505098

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 505098 B.

Wing 05/01/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Shuksan Rehabilitation and Health Care 1530 James Street Bellingham, WA 98225

Findings included .

Review of the undated facility policy titled Administrative Management (Governing Board), stated the Governing Board had full legal authority and responsibility for the management and operation of the facility.

Based on record review the following vendors sent demand bill notices to the facility:

Trident Lab corporation, past due $9,536.92 with a hold for non-payment.

City of [NAME] water, a shut off notice was sent on 04/07/2025 with shut off date of 05/07/2025 with a past due amount of $2,487.91

Cascade Natural Gas invoice with urgent past due notice dated 04/14/2025 requested payment of $1877.85 be received by 5:00 PM on April 22, 2025, or service may be disconnected.

Kavala staffing agency owing $191,210.01

Clipboard staffing agency owing $2,563.89, with a notice they will cease to send staff after May 5.

KCI (a medical supply company) invoice owing $12,550 with a notice on 04/21/2025 demand bill to pay by 04/21/2025.

According to the Office of Rates Management, as of 04/07/2025, the Safety Net Assessment (SNA) account for Shuksan HealthCare was 60 days past due in the amount of $119,996.01, which included a new outstanding balance for December 2024 days of $29,377.00, due to be paid 01/20/2025.

In an interview with the facility lab services provider on 04/25/2025 at 1:42 PM, CC5, the lab provider confirmed that the facility lab services were placed on a non-payment hold on 04/23/2025 which had not been corrected in their system.

This lack of lab services impacted 4 Residents (Residents 10, 34, 95, and 7) and potentially additional residents if new orders were received.

Resident 10, Depakote level (lab to determine therapeutic drug level for seizure medication) was not obtained.

505098

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 505098 B.

Wing 05/01/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Shuksan Rehabilitation and Health Care 1530 James Street Bellingham, WA 98225

Findings included .

Review of the undated facility policy titled Administrative Management, stated the Facility Administrator appointed was accountable to facility management and operations, which would be reported to a governing board.

Based on record review the following vendors sent demand bill notices to the facility:

- Trident Lab corporation, past due $9,536.92 with a hold for non-payment with invoices beginning 11/30/2024.

- City of [NAME] water, a shut off notice was sent on 04/07/2025 with shut off date of 05/07/2025 with a past due amount of $2,487.91.

- Kavala staffing agency statement #3545 dated 03/26/2025 total amount owed $191,210.01 for invoices from 11/25/2024 through 03/21/2025.

- Clipboard staffing agency owing $2,563.89, with a notice they will cease to send staff after 05/05/2025.

- KCI (a medical supply company) invoice owing $12,550 with a notice on 04/21/2025 demand bill to pay by 04/21/2025 with invoices beginning 10/21/2024.

-Cascade Natural Gas invoice with urgent past due notice dated 04/14/2025 requested payment of $1877.85 be received by 5:00 PM on April 22, 2025, or service may be disconnected.

505098

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 505098 B.

Wing 05/01/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Shuksan Rehabilitation and Health Care 1530 James Street Bellingham, WA 98225

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BELLINGHAM, WA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SHUKSAN REHABILITATION AND HEALTH CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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